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South Dakota rates for HCPCS 75733

Angiography Adrenal Bilateral Slctv Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.17 / $177.17 / $177.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.11 / $177.17 / $494.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.51 / $404.14 / $505.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.16 / $262.49 / $757.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.05 / $328.45 / $3,139.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.16 / $387.03 / $586.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.84 / $403.83 / $739.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.54 / $298.22 / $341.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.52 / $298.33 / $391.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.70 / $347.90 / $347.90